Organization
VENLEE CORPORATION
Active
Other names
JACKSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOC BA NGUYEN SR. R. PH. (PHARMACY MANAGE)
(206) 329-0570
Entity
Organization
Contact information
Practice address
1400 S JACKSON ST, SUITE 3, SEATTLE, WA 98144-2059
(206) 329-0570
(206) 328-2413
Mailing address
1400 S JACKSON ST, SUITE 3, SEATTLE, WA 98144-2059
(206) 329-0570
(206) 328-2413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHAR.CF.00004995
WA
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6014286
—
WA
Enumeration date
09/26/2006
Last updated
07/15/2008
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